NDLI: The intensity of breast cancer patients' relationships with their surgeons after the first meeting: Evidence that relationships are not 'built' but arise from attachment processes.

Please wait, while we are loading the content...

Year: 2017 Volume: 43

Year: 2016 Volume: 42

Year: 2016 Volume: 42 Issue: 12

Year: 2016 Volume: 42 Issue: 11

Year: 2016 Volume: 42 Issue: 10

Year: 2016 Volume: 42 Issue: 9

Year: 2016 Volume: 42 Issue: 8

Year: 2016 Volume: 42 Issue: 7

Year: 2016 Volume: 42 Issue: 6

Year: 2016 Volume: 42 Issue: 5

Margins in breast conserving surgery: A practice-changing process.

Clinical impact of breast MRI with regard to axillary reverse mapping in clinically node positive breast cancer patients following neo-adjuvant chemotherapy.

Clinical utility of Axillary Reverse Mapping (ARM) in an era of changing perceptions concerning axillary surgery.

Physical function of the upper limb after breast cancer surgery. Results from the SOUND (Sentinel node vs. Observation after axillary Ultra-souND) trial.

Do we need new high-risk criteria for surgically treated renal cancer patients to improve the outcome of future clinical trials in the adjuvant setting? Results of a comprehensive analysis based on the multicenter CORONA database.

The prognostic impact of para-aortic lymph node metastasis in pancreatic cancer: A systematic review and meta-analysis.

Oncoplastic breast conserving surgery and oncological outcome: Systematic review.

Individual strategy for lung cancer patients with metastatic spinal cord compression.

The FIB-4 score predicts postoperative short-term outcomes of hepatocellular carcinoma fulfilling the milan criteria.

Patterns and prognostic significance of clinical recurrences after radical cystectomy for bladder cancer: A 20-year single center experience.

Image guided therapy and the importance of local tumour control.

The intensity of breast cancer patients' relationships with their surgeons after the first meeting: Evidence that relationships are not 'built' but arise from attachment processes.

A study of margin width and local recurrence in breast conserving therapy for invasive breast cancer.

Mesh versus acellular dermal matrix in immediate implant-based breast reconstruction - A prospective randomized trial.

Patterns and outcomes of breast reconstruction in older women - A systematic review of the literature.

Radiofrequency ablation and surgical resection of liver metastases from uveal melanoma.

Sinusoidal dilation increases the risk of complications in hepatectomy for CRCLM - Protective effect of bevacizumab and diabetes mellitus, serum gamma-glutamyltranspeptidase as predictive factor.

The use of onestep nucleic acid amplification (OSNA) and tumour related factors in the treatment of axillary breast cancer: A predictive model.

Therapeutic efficacy of percutaneous microwave coagulation versus liver resection for single hepatocellular carcinoma ≤3 cm with Child-Pugh A cirrhosis.

Modified total meso-pancreatoduodenum excision with pancreaticoduodenectomy as a mesopancreatic plane surgery in borderline resectable pancreatic cancer.

Feasibility study of axillary reverse mapping for patients with clinically node-negative breast cancer.

Infection prevention in breast implant surgery - A review of the surgical evidence, guidelines and a checklist.

Year: 2016 Volume: 42 Issue: 4

Year: 2016 Volume: 42 Issue: 3

Year: 2016 Volume: 42 Issue: 2

Year: 2016 Volume: 42 Issue: 1

Year: 2015 Volume: 41

Year: 2014 Volume: 40

Year: 2013 Volume: 39

Year: 2012 Volume: 38

Year: 2011 Volume: 37

Year: 2010 Volume: 36

Year: 2009 Volume: 35

Year: 2008 Volume: 34

The intensity of breast cancer patients' relationships with their surgeons after the first meeting: Evidence that relationships are not 'built' but arise from attachment processes.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Beesley, H. Goodfellow, S. Holcombe, C. Salmon, P.
Description	Author Affiliation: Beesley H ( Division of Clinical Psychology, University of Liverpool, Whelan Building, Brownlow Hill, Liverpool L69 3GB, UK); Goodfellow S ( Division of Clinical Psychology, University of Liverpool, Whelan Building, Brownlow Hill, Liverpool L69 3GB, UK.); Holcombe C ( Breast Unit, Linda McCartney Centre, Royal Liverpool University Hospital, Prescot Street, Liverpool L7 8XP, UK.); Salmon P ( Division of Clinical Psychology, University of Liverpool, Whelan Building, Brownlow Hill, Liverpool L69 3GB, UK.)
Abstract	BACKGROUND: Cancer clinicians are exhorted to build clinical relationships with their patients over time using patient-centred communication skills. An alternative view is that patients' sense of relationship is a response to clinicians' expertise and authority and therefore is normally present from the start. OBJECTIVE: We measured the intensity of breast cancer patients' sense of relationship with their surgeon after their first brief, diagnostically focused meeting in order to compare it with published reports from patients in other types and stages of clinical relationship. PARTICIPANTS: Women (N = 133) over 18 years old and due to undergo surgery for primary breast cancer were recruited consecutively from pre-operative clinics. DESIGN: Patients reported the intensity of their relationship with the surgeon on a standardised questionnaire (Working Alliance Inventory). We compared their ratings with published reports over the last 15 years, in which patients in other types of clinical relationship completed the same questionnaire. RESULTS: Patients' alliance with their surgeons was very high (mean 6.13, 95% CI: 5.99, 6.27, on a 1-7 scale), and at 90(th) percentile when compared with scores from other settings, including those characterized by many hours of talk addressing patients' emotional needs. CONCLUSIONS: Patients with breast cancer feel an intense sense of relationship with the surgeon from the first meeting, consistent with the view that their sense of relationship arises primarily from their recognition of the surgeon's expertise and authority. The challenge for surgeons is therefore not usually to 'build a relationship' but to support the sense of relationship that patients have from the start.
File Format	HTM / HTML
ISSN	07487983
Issue Number	5
Journal	European Journal of Surgical Oncology (EJSO)
Volume Number	42
e-ISSN	15322157
Language	English
Publisher	Elsevier
Publisher Date	2016-05-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline General Surgery Discipline Oncology Breast Neoplasms Surgery Physician-patient Relations Surgeons Female Humans Male Middle Aged Questionnaires Journal Article
Content Type	Text
Resource Type	Article
Subject	Surgery Oncology

Central Library (ISO-9001:2015 Certified)
Indian Institute of Technology Kharagpur
Kharagpur, West Bengal, India | PIN - 721302

See location in the Map
03222 282435
Mail: support@ndl.gov.in

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in